Susan L Wallace, MD - Medicare Psychiatry in Panorama City, CA

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Susan L Wallace, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Panorama City, California. She went to New York Medical College and graduated in 1979 and has 47 years of diverse experience with area of expertise as Psychiatry. She is a member of the group practice Clinica Sierra Vista and her current practice location is 13652 Cantara St, Panorama City, California. You can reach out to her office (for appointments etc.) via phone at (818) 375-2000.

Susan L Wallace is licensed to practice in California (license number G42602) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1255402160.

Contact Information

Susan L Wallace, MD
13652 Cantara St,
Panorama City, CA 91402-5423
(818) 375-2000
Not Available

Map and Direction




Physician's Profile

Full NameSusan L Wallace
GenderFemale
SpecialityPsychiatry
Experience47 Years
Location13652 Cantara St, Panorama City, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Susan L Wallace attended and graduated from New York Medical College in 1979
  NPI Data:
  • NPI Number: 1255402160
  • Provider Enumeration Date: 11/13/2006
  • Last Update Date: 04/09/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 3577759869
  • Enrollment ID: I20111109000292

Medical Identifiers

Medical identifiers for Susan L Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255402160NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry G42602 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Clinica Sierra Vista3870407505157

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Susan L Wallace allows following entities to bill medicare on her behalf.
Entity NameClinica Sierra Vista
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861494338
PECOS PAC ID: 3870407505
Enrollment ID: O20031117000928
Entity NameCamarena Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891778114
PECOS PAC ID: 4880584317
Enrollment ID: O20040318000523
Entity NameTahoe Carson Valley Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508865528
PECOS PAC ID: 8426048158
Enrollment ID: O20040514000834
Entity NameBarton Healthcare System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235196015
PECOS PAC ID: 1850293960
Enrollment ID: O20040915000806
Entity NameClinica Sierra Vista
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740439314
PECOS PAC ID: 3870407505
Enrollment ID: O20090304000620
Entity NamePeach Tree Healthcare
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003863622
PECOS PAC ID: 7416978440
Enrollment ID: O20101104000566

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Susan L Wallace is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Susan L Wallace, MD
13652 Cantara St,
Panorama City, CA 91402-5423

Ph: (818) 375-2000		Susan L Wallace, MD
13652 Cantara St,
Panorama City, CA 91402-5423

Ph: (818) 375-2000

Reviews and Comments


Psychiatry & Neurology Doctors in Panorama City, CA

Douglas L. Caldwell, MD
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 13652 Cantara St, Panorama City, CA 91402
Phone: 818-375-2000    
Behnam Farahdel, M.D.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 13652 Cantara St, Kaiser Permanente-business Office, Panorama City, CA 91402
Phone: 818-375-2809    Fax: 818-375-3034
Dr. Kaevon Dorian Brasfield, MD
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 14850 Roscoe Blvd, Panorama City, CA 91402
Phone: 818-304-8642    
Dr. Philip Phan, M.D.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 8120 Woodman Avenue, Panorama City Medical Center, Panorama City, CA 91402
Phone: 818-375-2809    Fax: 818-375-4069
Sidney Gold, MD
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 13652 Cantara St, Panorama City, CA 91402
Phone: 818-375-2000    
Michael Alex Alajian, DO
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 14850 Roscoe Blvd, Panorama City, CA 91402
Phone: 818-304-8642    
Eugene Pahk,
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 14860 Roscoe Blvd Ste 200, Panorama City, CA 91402
Phone: 310-553-5203    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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